| Code | Description | Claims | Beneficiaries | Total Paid |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
495 |
433 |
$23K |
| 76830 |
Ultrasound, transvaginal |
388 |
355 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
170 |
162 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
362 |
332 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
507 |
324 |
$11K |
| 93975 |
|
63 |
54 |
$10K |
| 76770 |
|
250 |
183 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
139 |
125 |
$6K |
| 93925 |
|
208 |
135 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,035 |
847 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
670 |
650 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
85 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
54 |
52 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
236 |
197 |
$2K |
| 76881 |
|
30 |
27 |
$2K |
| 93971 |
|
321 |
179 |
$2K |
| 93970 |
|
221 |
121 |
$1K |
| 73562 |
|
69 |
55 |
$656.81 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
17 |
$609.21 |
| 93922 |
|
122 |
71 |
$202.21 |
| 74018 |
|
48 |
45 |
$195.64 |
| 73610 |
|
12 |
12 |
$166.93 |
| 72100 |
|
13 |
12 |
$159.96 |
| 73030 |
|
13 |
12 |
$107.24 |
| 93926 |
|
23 |
13 |
$68.38 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
52 |
30 |
$0.00 |